Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 31000255A | IN |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 31000255A | IN |
NPI | 1841311750 |
---|---|
Provider Name | Mrs. Laura Clauss Trexler |
First Address | Indianapolis, IN 46254-2607 |
Second Address | Indianapolis, IN 46268-1130 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2007 |
Last Update Date | 01/07/2011 |